Kathryn A Musselwhite, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

113710 Issued in WV

Practice address

414 Grand Park Dr Ste 1
Parkersburg, WV 26105-4065

Phone

(304) 599-8000

Fax

(304) 599-8003

NPI assigned

Aug 8, 2019

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kathryn A Campbell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Musc Affiliate Physicians

  dba MUSC Affiliate Physicians Spec

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1700465648
  NPD
• Cardinal Pediatrics PLLC

  • Pediatrics Physician
  • Morgantown, WV
  • NPI 1548272651
  NPD (past)
• Musc Affiliate Physicians

  dba MUSC Affiliate Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1548849482
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1295380046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 SUNCREST TOWN CENTRE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051876",
            "telephone_number": "304-599-8000",
            "fax_number": "304-599-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 GRAND PARK DR STE 1",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054065",
            "telephone_number": "304-599-8000",
            "fax_number": "304-599-8003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1247 Suncrest Town Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051876",
            "country_code": "US",
            "telephone_number": "304-599-8000",
            "fax_number": "304-599-8003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 Coombs Farm Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265081150",
            "country_code": "US",
            "telephone_number": "304-599-8000",
            "fax_number": "304-599-8003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSSELWHITE",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "22082",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WV",
            "license": "113710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "CAMPBELL",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• David Myers
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• Joel Richard Myers

• Pediatric Nurse Practitioner in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Pediatric Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.